NPI: 1033104195 · NEW YORK, NY 10029 · Community/Retail Pharmacy · NPI assigned 09/14/2005
| Authorized Official | KIM, MOON (PRESIDENT) |
| NPI Enumeration Date | 09/14/2005 |
Other providers sharing the same authorized official: KIM, MOON
| Provider | City | State | Total Paid |
|---|---|---|---|
| KORYO HEALTH FOUNDATON | LOS ANGELES | CA | $1.30M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $58.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4259 | Lancets, per box of 100 | 12 | 12 | $58.04 |